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Neurocysticercosis at UTH of Kara: Epidemiological, Clinical, Diagnostic, Therapeutic and Evolutive Aspects

Received: 14 May 2023    Accepted: 20 June 2023    Published: 8 July 2023
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Abstract

Objective: to determine the rate of NCC in hospital practice at the University Teaching Hospital of Kara and more specifically the socio-demographic characteristics, the different clinical and CT aspects of this affection as well as the evolutionary profile undergoing treatment. Method: a cross-sectional study was conducted at the University Teaching Hospital of Kara from January 1, 2018, to December 31, 2022. Outpatients and inpatients who showed brain imaging signs of NCC were included in this study. Results: Forty-one (41) patients have been included, corresponding to an inpatient frequency of 0.72%. The patient mean age was 49.24 years (SD, 18.67 years) and 26 (63.41%) patients were male. Thirty-one (75.61%) patients presented with epileptic seizures and 15 (36.59%) patients reported headache. Calcification lesions were identified on 36 (87.80%) CT and cystic lesions were visualized on 14 (34.15%) CT. Ischemic stroke lesions were found on the CT scans of 5 (12.20%) patients. Praziquantel was the specific anti-parasitic drug used associated to corticosteroid to minimize inflammatory response. Improvement of the mains symptoms such as seizure and headaches were observed at the end of treatment. Conclusion: NCC is a real public health problem due to the polymorphism of symptoms and clinical signs, making its diagnosis difficult. From this study, mass screening of the population should be carried out, followed by sensitization of all segments of the population, from pig farmers to consumers.

Published in Clinical Neurology and Neuroscience (Volume 7, Issue 2)
DOI 10.11648/j.cnn.20230702.12
Page(s) 31-37
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Neurocysticercosis, Epidemiology, Kara University Hospital, Togo, Sub-Saharan Africa

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Cite This Article
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    Léhleng Agba, Lihanimpo Djalogue, Abide Talabewi, Nyinèvi Komla Anayo, Kokou Mensah Guinhouya, et al. (2023). Neurocysticercosis at UTH of Kara: Epidemiological, Clinical, Diagnostic, Therapeutic and Evolutive Aspects. Clinical Neurology and Neuroscience, 7(2), 31-37. https://doi.org/10.11648/j.cnn.20230702.12

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    ACS Style

    Léhleng Agba; Lihanimpo Djalogue; Abide Talabewi; Nyinèvi Komla Anayo; Kokou Mensah Guinhouya, et al. Neurocysticercosis at UTH of Kara: Epidemiological, Clinical, Diagnostic, Therapeutic and Evolutive Aspects. Clin. Neurol. Neurosci. 2023, 7(2), 31-37. doi: 10.11648/j.cnn.20230702.12

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    AMA Style

    Léhleng Agba, Lihanimpo Djalogue, Abide Talabewi, Nyinèvi Komla Anayo, Kokou Mensah Guinhouya, et al. Neurocysticercosis at UTH of Kara: Epidemiological, Clinical, Diagnostic, Therapeutic and Evolutive Aspects. Clin Neurol Neurosci. 2023;7(2):31-37. doi: 10.11648/j.cnn.20230702.12

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  • @article{10.11648/j.cnn.20230702.12,
      author = {Léhleng Agba and Lihanimpo Djalogue and Abide Talabewi and Nyinèvi Komla Anayo and Kokou Mensah Guinhouya and Massaga Dagbe and Adama Mawuliplimi Ephoevi-Ga and Vinyo Kumako and Damelan Kombate and Komi Assogba and Agnon Ayolola Balogou},
      title = {Neurocysticercosis at UTH of Kara: Epidemiological, Clinical, Diagnostic, Therapeutic and Evolutive Aspects},
      journal = {Clinical Neurology and Neuroscience},
      volume = {7},
      number = {2},
      pages = {31-37},
      doi = {10.11648/j.cnn.20230702.12},
      url = {https://doi.org/10.11648/j.cnn.20230702.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cnn.20230702.12},
      abstract = {Objective: to determine the rate of NCC in hospital practice at the University Teaching Hospital of Kara and more specifically the socio-demographic characteristics, the different clinical and CT aspects of this affection as well as the evolutionary profile undergoing treatment. Method: a cross-sectional study was conducted at the University Teaching Hospital of Kara from January 1, 2018, to December 31, 2022. Outpatients and inpatients who showed brain imaging signs of NCC were included in this study. Results: Forty-one (41) patients have been included, corresponding to an inpatient frequency of 0.72%. The patient mean age was 49.24 years (SD, 18.67 years) and 26 (63.41%) patients were male. Thirty-one (75.61%) patients presented with epileptic seizures and 15 (36.59%) patients reported headache. Calcification lesions were identified on 36 (87.80%) CT and cystic lesions were visualized on 14 (34.15%) CT. Ischemic stroke lesions were found on the CT scans of 5 (12.20%) patients. Praziquantel was the specific anti-parasitic drug used associated to corticosteroid to minimize inflammatory response. Improvement of the mains symptoms such as seizure and headaches were observed at the end of treatment. Conclusion: NCC is a real public health problem due to the polymorphism of symptoms and clinical signs, making its diagnosis difficult. From this study, mass screening of the population should be carried out, followed by sensitization of all segments of the population, from pig farmers to consumers.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Neurocysticercosis at UTH of Kara: Epidemiological, Clinical, Diagnostic, Therapeutic and Evolutive Aspects
    AU  - Léhleng Agba
    AU  - Lihanimpo Djalogue
    AU  - Abide Talabewi
    AU  - Nyinèvi Komla Anayo
    AU  - Kokou Mensah Guinhouya
    AU  - Massaga Dagbe
    AU  - Adama Mawuliplimi Ephoevi-Ga
    AU  - Vinyo Kumako
    AU  - Damelan Kombate
    AU  - Komi Assogba
    AU  - Agnon Ayolola Balogou
    Y1  - 2023/07/08
    PY  - 2023
    N1  - https://doi.org/10.11648/j.cnn.20230702.12
    DO  - 10.11648/j.cnn.20230702.12
    T2  - Clinical Neurology and Neuroscience
    JF  - Clinical Neurology and Neuroscience
    JO  - Clinical Neurology and Neuroscience
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    EP  - 37
    PB  - Science Publishing Group
    SN  - 2578-8930
    UR  - https://doi.org/10.11648/j.cnn.20230702.12
    AB  - Objective: to determine the rate of NCC in hospital practice at the University Teaching Hospital of Kara and more specifically the socio-demographic characteristics, the different clinical and CT aspects of this affection as well as the evolutionary profile undergoing treatment. Method: a cross-sectional study was conducted at the University Teaching Hospital of Kara from January 1, 2018, to December 31, 2022. Outpatients and inpatients who showed brain imaging signs of NCC were included in this study. Results: Forty-one (41) patients have been included, corresponding to an inpatient frequency of 0.72%. The patient mean age was 49.24 years (SD, 18.67 years) and 26 (63.41%) patients were male. Thirty-one (75.61%) patients presented with epileptic seizures and 15 (36.59%) patients reported headache. Calcification lesions were identified on 36 (87.80%) CT and cystic lesions were visualized on 14 (34.15%) CT. Ischemic stroke lesions were found on the CT scans of 5 (12.20%) patients. Praziquantel was the specific anti-parasitic drug used associated to corticosteroid to minimize inflammatory response. Improvement of the mains symptoms such as seizure and headaches were observed at the end of treatment. Conclusion: NCC is a real public health problem due to the polymorphism of symptoms and clinical signs, making its diagnosis difficult. From this study, mass screening of the population should be carried out, followed by sensitization of all segments of the population, from pig farmers to consumers.
    VL  - 7
    IS  - 2
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Author Information
  • Neurology Department, University Teaching Hospital of Kara, Kara, Togo

  • Internal Medicine Department, University Teaching Hospital of Kara, Kara, Togo

  • Neurology Department, University Teaching Hospital of Sylvanus Olympio, Lome, Togo

  • Neurology Department, University Teaching Hospital of Campus, Lome, Togo

  • Neurology Department, University Teaching Hospital of Sylvanus Olympio, Lome, Togo

  • Radiology Department, University Teaching Hospital of Kara, Kara, Togo

  • Neurology Department, University Teaching Hospital of Sylvanus Olympio, Lome, Togo

  • Neurology Department, University Teaching Hospital of Kara, Kara, Togo

  • Neurology Department, Regional Hospital Center of Kara, Kara, Togo

  • Neurology Department, University Teaching Hospital of Sylvanus Olympio, Lome, Togo

  • Neurology Department, University Teaching Hospital of Campus, Lome, Togo

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